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Contact Information

SCHWABS COMPOUNDING PHARMACY
108 B RAILROAD AVE
KITTITAS, WA98934
 Phone: 509-968-9545
 Fax: 509-968-9545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SCHWABS COMPOUNDING PHARMACY

NPI Number 1922013549
LBN Legal business name SCHWABS COMPOUNDING PHARMACY
Authorized official GRAIG SCHWAB - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2006
Last updated 04/21/2016 - About 10 years ago
Identifiers
WA License # PHAR.CF.00058330
WA Medicaid 6058200
Other 2107661 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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